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Original Article
- Multidisciplinary Intestinal Rehabilitation for Short Bowel Syndrome in Adults: Results in a Korean Intestinal Rehabilitation Team
- Sojeong Yoon, Sanghoon Lee, Hyo Jung Park, Hyun-Jung Kim, Jihye Yoon, Ja-Kyung Min, Jeong-Meen Seo
- J Clin Nutr 2018;10(2):45-50. Published online December 31, 2018
- DOI: https://doi.org/10.15747/jcn.2018.10.2.45
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Abstract
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ePub Purpose:
Intense multidisciplinary team effort is required for the intestinal rehabilitation of patients afflicted with the short bowel syndrome (SBS). These include enteral and parenteral nutrition (PN) support, monitoring of complications related to treatment, and considering further medical or surgical options for intestinal adaptation.
Methods:
In the Intestinal Rehabilitation Team (IRT) at the Samsung Medical Center, we have experienced 20 cases of adult SBS requiring multidisciplinary intestinal rehabilitation. This study is a retrospective review of the collected medical records.
Results:
Of the 20 subjects treated, 12 patients were male and 8 patients were female. At the time of referral to the IRT, the mean age was 51.5 years, and the mean body weight was 50.1 kg, which was 90% of the usual body weight. The diseases or operative managements preceding massive bowel resection were malignancy in 11 cases, cardiac surgery in 2 cases, trauma in 2 cases and one case, each of tuberculosis, corrosive esophagitis, atrial fibrillation, simultaneous pancreas and kidney transplantation, and perforated appendicitis. Of these, there were 14 survivals and 6 mortalities. The fatalities were attributed to progression of disease, intestinal failure-associated liver disease, and sepsis (unrelated to intestinal failure) (2 cases each). Among the 14 surviving patients, 8 patients have been weaned off PN, whereas 6 are still dependent on PN (mean PN dependence 36%).
Conclusion:
This paper reports the results of multidisciplinary intestinal rehabilitation of adult short bowel patients treated at the Samsung Medical Center. Further studies are required to improve survival and enteral tolerance of these patients.
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Citations
Citations to this article as recorded by
- The Post-Discharge Caregiving Experiences of Mothers of Children with Intestinal Failure
Yunhyung Kim, Yeon Hee Kim, Jae Sim Jeong
Journal of Korean Association for Qualitative Research.2024; 9(1): 1. CrossRef - Intestinal Rehabilitation Program for Adult Patients with Intestinal Failure: A 20-Year Analysis of Outcomes in the Single-Center Experience at a Tertiary Hospital
Kyoung Moo Im, Jae Hee Chung
Digestive Diseases and Sciences.2024; 69(5): 1770. CrossRef - Vitamin D Deficiency is Prevalent in Short Bowel Syndrome Patients on Long-Term Parenteral Nutrition Support
SungHyo An, Sanghoon Lee, Hyun-Jung Kim, Hyo Jung Park, Jeong-Meen Seo
Journal of Clinical Nutrition.2021; 13(1): 12. CrossRef - Multidisciplinary Intestinal Rehabilitation in Children: Results from a Korean Intestinal Rehabilitation Team
Cheolgu Lee, Sanghoon Lee, Hyo Jung Park, Hyun-Jung Kim, Ja-Kyung Min, Jeong-Meen Seo
Advances in Pediatric Surgery.2020; 26(2): 61. CrossRef
- The Post-Discharge Caregiving Experiences of Mothers of Children with Intestinal Failure
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